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. 2013 Jul 5;5(7):2502–2521. doi: 10.3390/nu5072502

Table 1.

Overview of available vitamin D preparations, their characteristics, typical indication, side effects and costs. CKD (chronic kidney disease).

typical daily dose indication and side effects costs
NATIVE vitamin D
unhydroxylated, inactive from of vitamin D3
cholecalciferol
calciol
400–4000 IU
(max 10,000 IU)
  • vitamin D deficiency, osteoporosis therapy and prevention, hypoparathyroidism, prevention of rickets [27]

  • hypercalcemia (rare)

inexpensive
unhydroxylated, inactive form of vitamin D2
ergocalciferol
vitamin D2
400–4000 IU
(max 10,000 IU)
inexpensive
ACTIVE vitamin D
hydroxylated, active form of vitamin D
1,25(OH)2D
calcitriol
1,25-dihydroxyvitamin D3,
1,25-dihydroxycholecalciferol
analog: alfacalcidol
0.25–1.0 μg
  • secondary hyperparathyroidism in advanced CKD [35], hypoparathyroidism [36,37], pseudohypoparathyroidism [38], not in vitamin D deficiency

  • hypercalcemia/hyperphosphatemia is not uncommon (dose dependent), hypercalciuria, nephrocalcinosis

expensive
other active vitamin D analogs:
paricalcitol, doxercalciferol (vitamin D2 analogs)
falecalcitriol, maxacalcitol (vitamin D3 analogs)
  • secondary hyperparathyroidism in advanced CKD

  • hypercalcemia may occur, but less frequent compared with “older” active analogs

very expensive